Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,960.19 / $5,411.00 / $13,548.00	Facility		$1,960.19	$5,411.00	$13,548.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,938.05 / $2,543.94 / $4,241.79	Professional		$1,938.05	$2,543.94	$4,241.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,506.00 / $14,226.00	Facility		$4,574.00	$7,506.00	$14,226.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,745.04 / $2,167.04 / $4,830.08	Professional		$1,745.04	$2,167.04	$4,830.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,979.38 / $2,979.38 / $37,499.62	Facility		$2,979.38	$2,979.38	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,979.38 / $2,979.38 / $2,979.38	Professional		$2,979.38	$2,979.38	$2,979.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,385.92 / $7,227.90	Facility		$1,765.00	$2,385.92	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.37 / $3,266.83 / $7,469.86	Professional		$1,642.37	$3,266.83	$7,469.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,350.00 / $5,795.50	Facility		$332.00	$3,350.00	$5,795.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,154.78 / $2,837.07 / $4,245.82	Professional		$2,154.78	$2,837.07	$4,245.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,956.60 / $1,956.60 / $1,956.60	Facility		$1,956.60	$1,956.60	$1,956.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,731.42 / $2,509.03 / $3,894.02	Professional		$1,731.42	$2,509.03	$3,894.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,262.76 / $4,262.76 / $4,262.76	Professional		$4,262.76	$4,262.76	$4,262.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,385.92 / $12,209.00	Facility		$597.00	$2,385.92	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,961.70 / $3,074.67 / $6,990.21	Professional		$1,961.70	$3,074.67	$6,990.21
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,202.00	Facility		$996.00	$4,194.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,689.19 / $2,394.19 / $5,464.78	Professional		$1,689.19	$2,394.19	$5,464.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,509.03 / $2,509.03 / $8,366.96	Facility		$2,509.03	$2,509.03	$8,366.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,731.42 / $2,813.98 / $5,334.00	Professional		$1,731.42	$2,813.98	$5,334.00